The Effect of Clinical, Labaratory and Radiologic Results of the Patients Admitted To The Emergency Department With Blunt Abdominal Trauma Due To Traffic Accident On The Treatment Decision and Surgical Results

Tatar, İdil Güneş; Yılmaz, Kerim Bora; Ergün, Onur; Balas, Şener; Akıncı, Melih; Deryol, Rıza; Şeker, Gaye; Kulaçoğlu, Hakan; Hekįmoğlu, Baki

doi:10.5505/tjtes.2015.29559

Cited by 3 publications

(2 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[1] Approximately 80% of mortality between the ages of 15-24 years is caused by trauma. [2] Although a fall from height is more likely to be accidental, it can also be due to suicide or criminal reasons. The causes of falls from height vary in every age group.…”

Section: Introductionmentioning

confidence: 99%

Mortality determiners for fall from height cases

Akkoca

Tokgöz²,

Yılmaz³

et al. 2018

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

BACKGROUND:The aim of the present study was to investigate the role of body mass index (BMI) and trauma severity score systems on the mortality rates of patients undergoing surgery due to falls from height. METHODS:This retrospective study included 45 consecutive adult patients with multitrauma who were admitted and operated on due to a fall from height between January 2008 and December 2016. Patients were divided into mortality and recovery groups (n=10 and n=35, respectively). The groups were compared in terms of age, gender, weight, cause of the fall, height of the fall, location of the fall, BMI, trauma scores (Injury Severity Score [ISS], New Injury Severity Score [NISS], Glasgow Coma Scale [GCS], Abbreviated Injury Score [AIS], Revised Trauma Score [RTS]), hospital stay, and postoperative complications. RESULTS:There was no statistically significant difference between the two groups in terms of age, gender, and height or cause of the fall (p>0.05), whereas there was a statistically significant difference with respect to weight and BMI values (p<0.01). A statistically significant difference was determined between the groups in terms of hospital stay and postoperative complications (p<0.01) and ISS, NISS, GCS, AIS, and RTS scores (p<0.05). CONCLUSION:The effect of weight and BMI on the mortality rate of patients presenting with trauma as a result of a fall from height was objectively demonstrated in the present study. and heterogeneous pathophysiological patterns and different demographic factors, such as age, gender, and etiology. Methodologically, TSSs evaluate the severity of injury, including the anatomical severity and the level of physiological disorder, and convert the results into numerical data. These systems can determine the hospital stay and mortality rates, transfer suitable patients to proper facilities at the right time, compare large series, and eventually provide analyses of trauma care outcomes. [5] The purpose of establishing TSSs is to define the objective and comparable criteria for the determination of the severity of an injury. Anatomical location, physiological parameters, and trauma mechanisms are the three essential criteria to define the severity of an injury and also predict outcome. Moreover, these expedite the evaluation of various combinations of scoring systems. [6]

show abstract

Section: Introductionmentioning

confidence: 99%

Mortality determiners for fall from height cases

Akkoca

Tokgöz²,

Yılmaz³

et al. 2018

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

show abstract

“…However, USG is still the imaging modality of choice for the detection of blunt abdominal trauma, and positive ultrasonographic findings can be used as a risc factor when planning new algorithms in the management of the patient although it has shortcomings in the demonstration of hollow viscus injury. [14,15] On the other hand, given that USG is an operator-dependent imaging modality, and in emergency conditions where the patient cooperation is not expected, it may have low sensitivity rates, especially when performed by the physician other than radiologists. Therefore, in suspected cases, if the condition stabilizes, it is absolutely necessary to evaluate the patient with abdominal CT.…”

Section: Discussionmentioning

confidence: 99%

Correlation of Pelvic Fractures and Associated Injuries: The Statistical Analysis of 471 Pelvic Trauma Patients

Saydam

Şahin

Yılmaz

et al. 2018

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

BACKGROUND:In most respects, the vast majority of pelvic injuries is not of a life-threatening status, but co-presence of other injuries needs to be diagnosed. This study aims to evaluate associated pelvic and extra-pelvic visceral organ injuries of the patients with closed pelvic fractures. METHODS:This retrospective study was conducted with 471 adult patients who had been admitted to our Emergency Service with the diagnosis of pelvic fractures. Type of fractures, accompanying visceral organ injuries, the demographic data, type of operation, mortality rates were recorded and analysed statistically. RESULTS:The rate of operations carried out by the general surgery clinic or other surgical clinics in each type of fracture according to AO classification did not differ (p=0.118). In patients with A2, A3 and B1 types of fractures, the operation rate of general surgery clinic did not show a significant difference. However, most of the patients who had extrapelvic surgery were in the mild severity pelvic trauma, such as AO A2 and A3. A total of 31 patients were ex-patients, 17 of whom had AO-A2 type of fractures. The findings showed that there was a significant difference between abdominal ultrasonography outcome that was normal and non-orthopedic surgery types (p<0.001). There was no significant difference between the types of surgery performed and Abdominal CT outcome, which was normal (p=0.215). CONCLUSION:In the management of patients with pelvic fractures irrespective of its type or grade, the findings suggests that greater attention should be paid to not to overlook the associated injuries. Early blood and imaging tests are encouraged after the patient's hemodynamic status is stabilized.

show abstract

The predictive value of biochemical parameters in evaluating patients with abdominal trauma: The new scoring system

Musalar¹,

Ersel²,

Akarca³

et al. 2017

Turkish Journal of Emergency Medicine

View full text Add to dashboard Cite

AimThe aim of this study was to investigate the contribution of non-invasively and rapidly obtained biochemical parameter results to the diagnosis and follow-up of intraabdominal injuries in multitrauma patients.Material and MethodsA total of 2604 multitrauma patients who were treated following their referral to our emergency department between January 2009 and January 2012 were retrospectively reviewed. A logistic regression analysis was used in the risk assessment.ResultsStatistically significant associations between intraabdominal injury and certain biochemical variables measured at the time of the referral were determined. These variables were hemoglobin ≤9.99 g/dL [odds ratio (OR): 6.25, 95% CI: 2.86–13.52, p < 0.0001], serum alanine amino transferase (ALT) ≥ 100 IU/L (OR: 34.45, 95% CI: 21.76–54.54, p < 0.0001), and serum lipase ≥ 61 U/L (OR: 10.44, 95% CI: 6.56–16.49, p < 0.0001). The pretest probability score was determined for each patient by adding the scores that were obtained from each factor. ROC curve analysis was performed to determine the diagnostic value of the pretest probability score for detecting intra-abdominal injury (area = 0.88; p < 0.0001).ConclusionThe results of our study demonstrated that biochemical parameters may contribute to the diagnosis and follow-up of intraabdominal injuries in multitrauma patients. In particular, ALT, AST, CK and myoglobin were found to have higher ORs than low hemoglobin. After these parameters are tested in larger scale studies in conjunction with the gold standard multislice abdominal CT, they may be used for establishing scores to evaluate the severity of abdominal injuries.

show abstract

The Effect of Clinical, Labaratory and Radiologic Results of the Patients Admitted To The Emergency Department With Blunt Abdominal Trauma Due To Traffic Accident On The Treatment Decision and Surgical Results

Cited by 3 publications

References 23 publications

Mortality determiners for fall from height cases

Mortality determiners for fall from height cases

Correlation of Pelvic Fractures and Associated Injuries: The Statistical Analysis of 471 Pelvic Trauma Patients

The predictive value of biochemical parameters in evaluating patients with abdominal trauma: The new scoring system

Contact Info

Product

Resources

About